HomeMy WebLinkAboutMiscellaneous - 112 COLONIAL AVENUE 4/30/2018 112 COLONIAL AVENUE .
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OIV•STRUCT I VOL,
HAS PLAN REVIEW FEE .BEEN PAID? ) YES NO
PLAN APPROVAL: DATE / APP. BY
DESIGNER: /7'/Z Yds PLAN DA rE.
CONDITIONS --
WATER SUPPLY: TOWN WELL
WELL PERMIT
DRILLER-_-_____ - - -...._._._.........
WELL TESTS: CHEMICAL DA 1 E APPROVED.-.-----.----
BACTER 'A I DA I E (IPPRUVED
BACTERIA II DAZE APPROVED
COMMENTS:
FORM U APPROVAL: APPROVAL TO ISSUE YE5 NU
DATE ISSUED BY
CONDITIONS:
FINAL APPROVAL: .
ALL PERMITS PAID YES NO
WELL CONSTRUCTION APPROVAL YES N
SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO
YES NU
OTHER
ANY VARIANCE NEEDED YES NO
FINAL BOARD OF HEALTH APPROVAL: DATE:. _.._...__._..._ ....13Y: .-.
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:TYPE. OF.. CONSTRUCTION
ED PLOT PLAN REVIEW. NO
NEW CONSTRUCTION:
CERTIFIED YES NO
`' CONDITIONS OF:.APPROVAL : �
(FROM FORM U)
�,,. .•- YES NO
f ,!_ISSUANCE OF DWC1 PERMIT "
,'�;�• '`_ J ".:~INSTALLER: �A �4
PERMIT N r% --
DWC 0- '
BEGIN,. INSPECTION .- _... YES O-
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• ?' EXCAVATION •INSRECTION: NEEDED:
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TION INSPECTION:
NEEDED:
LAN SATISFAC.,,
YES:
`S BUILT R `
i' 7- BY' APPROVAL TO BACKFILL: DATE.
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FINAL . GRADING APPROVAL: DATE j
BY —
DATE: _
FINAL CONSTRUCTION APPROVAL:
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� Commornwealth.of.Massachusetts
C ty/TQwn of NORTH ANDOVER MASSA ;-1.1iJ:TS:
System Pumping Record
',.:Form 4 S P - 6 2006
DEP has provided this form for use by local Boards of Health. T e�Syg erns Wlwrnp n91,3--ocloxcl mu:
be submitted to the local Board of Health or other approving aut ori ALTH DEPARTN,L-NT
A. Facility Information -
Important:
When filling out 1. System Location:
forms on the
computer, use
only the tab key Address — — -
to move your
cursor•do not _ __ _
use the return City/Town Stale
T-- Zip Code--key, 2.
2. System Owner:
Name
Address(if different from location)
City/Town Stat �-- ----p—�J��Zi Code -
Telephone Number
B. P mping Record - --
1• Date of Pumping Date -' 2. Quantity Pumped: --�
Gallons
3 Type of system: ❑ Cesspool(s) c!M Septic Tank ❑ Tight Tank
❑ Other(describe): - ------ - _______...__._..--_�—._ - —. . ---- .......... ....._ .
4. Effluent Tee Filter present? ❑ Yes fto� If yes, was it cleaned? ❑ Ya j0
r
5. Condition of System:
6. Sy em Pumped By:
ame Vehicle License Number --
Company
7. Location where contents were disposed:
ADate ---- ---- — --. ..._.
http://www,mas$,gov/dep/wHsu
ater/ proyals/t5for0 u 4� e—ms.htm#inspect
t5form4.doc-06/03
System Pumping Record• Page 1 of
Town of North Andover NORT#1
Office of the Planning Department
Community Development and Services DivisionVL
_
27 Charles Street
North Andover,Massachusetts 01845 4SS�c►+uSE�
bft://www.townofnorthandover.com
Town Planner: iwoods@townofnorthandover.com P (978)688-9535
J.Justin Woods F (978)688-9542
October 10, 2003
Anthony P. Onello, Jr.
112 Colonial Avenue
North Andover, MA 01845
RE: 112 Colonial Avenue
Woodland Estates
Dear Mr. Onello:
I have researched your inquiry regarding making grading and landscaping changes in the drainage easement
area and reviewed your letter with Jack Sullivan,the Director of Engineering. After reviewing the May 22,
2002 letter from Bob Beshara,we concurred with the positions and steps he outlined.
After you obtain written approval from the developer,I would be happy to review the process for obtaining
Planning Board approval with you. Please note that the Planning Board will require that you have a
professional engineer prepare the grading and landscaping plan.
If you have any questions,please feel free to contact me.
Feely
ds
r
cc: Conservation Administrator
Engineering Director
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Anthony P. Onello Jr.
Jennifer S. Onello
112 Colonial Avenue
North Andover,MA 01845
August 26, 2003 (] 2003
Mr. I Justin Director of Planning vG®RR RTMENr
Town of North Andover
27 Charles Street
North Andover, Massachusetts 01845
Dear Mr. Woods:
Thank you for speaking with me on the telephone earlier this month regarding a project
that my wife, Jennifer, and I would like to have done in our backyard. During our conversation,
you suggested that we outline our proposed project in the form of a letter.
As we discussed, the southeast corner of our property at 112 Colonial includes a storm
drainage easement (See Fig. 1). The easement is in the form of an oval depression about 15 feet
wide, 50 feet long and 5 feet deep, with banked, earthen walls.
The top of the depression is at the level of the driveway, and forms a grass side yard along
the driveway. The side yard runs toward the rear of the property along a level walkway that is
currently left in a natural state.
The backyard is at a level about 4 feet above the walkway. (See Fig. 2, taken along
section A-A of Fig. 1). A rip-rap bank is between the upper yard level and the lower walkway.
We find that the rip-rap bank is unsightly, and is also a safety hazard. We have two young
children, and their natural curiosity, and that of their friends, always seems to draw them toward
the rip-rap bank. Balls and toys from the yard are constantly tumbling down the bank, and the
bank is dangerous to walk up and down.
We would like to replace the rip-rap bank with a stone wall, as shown in FIGs. 3A and
3B. We plan to decide with the help of a landscaper whether the stone wall will take the form of
a single wall (Fig. 3A) , or a tiered wall (Fig. 3B). We are also considering placing a safety
barrier in the form of a fence or shrubbery along the top of the stone wall.
The stone wall will provide a more finished look to the backyard, and will offer a much
safer solution than the current rip-rap bank.
Mr. J. Justin Woods
August 26, 2003
Page Two
Our proposed project will not impact the drainage easement in any way. Any work that is
to'be done will be above the top level of the drainage easement, on the side of the natural
walkway opposite the easement.
Last year,we consulted with the then town engineer,Robert E. Beshara,P.E., regarding
the project. Mr. Beshara was kind enough to visit our property and provide us with a letter
outlining his opinion on the project. A copy of Mr. Beshara's letter, dated May 22, 2002,is
enclosed for your review.
We would appreciate your kind advice as to the next steps we should take in the approval
process.
Sincerely,
Anth ny P. Onello Jr.
enclosure
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TOWN OF NORTH ANDOVER
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET
NORTH ANDOVER,MASSACHUSETTS 01845-2909
J. WILLIAM HMURCIAK,DIRECTOR,P.E.
� NORTF�
Robert E. Beshara, P.E.
°btt .o °�1p Telephone (978) 685-0950
or °�°- "' �° °�
Director of Engineering * Fax(978) 688-9573
a ,
�9SSAc►+uSE<�y
May 22,2002
Anthony&Jennifer Onello
112 Colonial Avenue
North Andover,MA 01845
Dear Anthony&Jennifer,
This letter is to follow—up our meeting on Monday May 20,2002 at your property.As I understand the proposed work,you
would like to make grading and landscape changes to our lot that may include the construction of a wall. Some of this work
g g P g Y Y
will be performed on an area on your property that the Town has drainage easement rights.Based on my review of the
approved subdivision plans and your description of the proposed work,I offer the following comments:
1. The subdivision has not been accepted by the Town;therefore the developer has rights to the easement area.You
would probably need to obtain approval of your proposed changes from the developer.
2. Approval would then be required from the Planning Board,which oversees the subdivision until completion and
acceptance by the Town.
3. Approval is also likely from the Conservation Commission as the work you proposed is probably within the buffer
zone of a wetlands.
4. Finally,you would require approval for the work from the Division of Public Works.
My position on your proposed work follows:
1. I do not believe that the landscaping and possible construction of the wall as you have described to me,will
interfere with the Town's ability to provide maintenance within the drainage easement.
2. I do not believe that the proposed work as you have described to me will interfere or compromise the operation of
existing drainage facilities within the easement.
3. The Town has no plans and isnot likely to have plans to change the use or operation of the drainage facility that
might interfere with the work you propose to perform,however,with the construction of permanent facilities within
the easement(the wall)you always run the risk that the Town will need to perform work on the easement and
would require you to remove or modify the permanent facility at your own expense.
Very truly yours,
Robert E.Beshara,P.E.
Director of Engineering
cc: J William Hmurciak,P.E.,Director DPW
Tim Willett, Superintendent Water&Sewer
Jacki Byerley,Planning Department
5-22-02 Proposed Work in Drainage Easement Area.doc
U�C �':nmuturiwettl�h ofI85�E Permit ofllc.Use
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BeR ttnItnt of Public $afetq Occupancy d Fee Checked 33 "i'•
BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:000 M""blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR,,,12:09
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
T& or Town of NORTH ANDOW11. To the Inspector of Wlrea: Jh:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Numbed
Owner or Tenant
L Owner's Address !;
Is this permit in conjunction with a building ermit: Yes _ No C (Check Appropriate Box)
Purpose of Buildings C Utility Authorization No. all
Existing Servide Amps Volts Overhead Undgrnd C1 No. of Meters
New Service Amps _1 Volts Overnead ' Unogrna No. of Meters
Number of Feeders ano Ampacity
i<
Location and Nature of Proposed Electrical Work
• ,rL
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No. of Lighting Outlets ( No. of Hot -ccs I No. of Transformers Total
`
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No. of Lighting Fixturesi swimming P_o+ Abcve.— In-
grno. _ grna. _ Generators KVA
No. of Emergency Lighting,
No. of Receoiacie Outlets I No. of Oil Surners I Battery Units
No. of Switch Outlets I No. of Gas _urr.ers FIRE ALARMS No. of Zones ZII+
No. of Ranges I No. cf Air Corc. otai No. of Detection and
:cns Initiating Devices
Heat Tom -otai
No. of Disoosats I No.ot Purres :ons Kw No. of Sounding Devices
No. of Sart Contained
No. of Dishwashers I SoacetArea Meat ra KW Detection/Sounding Devices
No. of Dryers I Heating — Municioall Other "r
` ry g Devices KW Local Connection
No. of No. at Low Voltage :
No. of Water Heaters KW I Signs ?airasts
Wiring
i No. Hydro Massage Tubs No. of Motcrs Total HP
OTHER: f ll
INSURANCE COVERAGE: Pursuant to the reauirements at t.tassacr:Lsers general Laws
I have a current Liability Insurance Policy inducing Camc:eiec Oeerauons Coverage or its substantial equivalent. YES AZ--NO = I
have submitted valid proof of same to the Office. YES --':—NO = It you nave checked YES. please indicate the type of coverage oy
checking the aoproonate box.
y,..
INSURANCE !—:- BOND = OTHER = (Please Scec:~fit
Estimated value of E, clncal ork S ' � (Expiration Dalai
Work to Start Insoection Date Aacues:ec: Rough Final ti
Signeo under the Penatli s of penury:
Q t
FIRM NAME Pv I� r f /T/`'t r UC. NO.BySt�
<r:
License* c; S;grature UC. NO. t
/t � TlNo.
i2—G .9
eus.
Address, ,2
Alt. Til. No, i.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee toes not nave the insurance coverage or its substantial equivalent as re-
quired by Massacnuse'its General Laws. ano that my signature an 7nis Rermit application waives this redulrement. Owner Agent
tPlease checx one►• `,
eieonone No. PERMIT FEES
(Signature of Owner or Agenti r
DatWla'....C� ..
ro 1215
NORT/{
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING o
,SSACMUSE� p
C�tic/R
This certifies that .... .. �'' 4�-
.......
has permission to perform ...r!: -r.t''......................
wiring in the building of n'
...... .................................................................... ..
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Vat..........t?'r.. .,........ .................. .North Andover,Mass.
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Fee? ............... Lic.No.-.-2 41.7...............................................................
ELECTRICAL INSPECTOR �+
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WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
Address (14 AlI/;L Title of File
Page of
Date File (open:
Gate Fileclosed:
Doc Document/Action Title =ActionDoepaitm
Refer Purpose of`Documeent A
action
swum. 1 ckion and notes
----------------
Board of Appeals — Board of Health Planniin,g Board _ Conservation commission — Builoding Department -------
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COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
J DEPARTMENT OF ENVIItONMENTAL PROnxnoN
ONE WINTER STREET,BOSTON MA 02108 (617),292-MOO
Li
TRUDY COXE
Secretary
ARGEO PAUL CELLUCCI DAVID B.MUM
Governor Commoner
SUBSURFACE SEWAGE DISPOSAL SYSTEM MPECTION FORM
PART A
n CERTIFICATION
L1 Property Address:112 Colonial Ave. Name of owner Rogei'lo Lopez
North Andover,MA 01845 Address of owner. 112 Colonial te Ave..North Andover MA 01845 .
r-1 Daof Imp 9129198
Name of bspsaw:(Please Pratt) Thomas E.Phalen Jr.
Li i am a DEP approved system inspector pursnunt to Section 15.340 of Title 51310 CMR 15.000)
Company Name: Phalen&Allen Ltd.
n Ming Address: 4 Eugene Drive,Winchester,MA 01890
Telephone Ranter: 781-729-7117
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CERTIFICATION STATEMENT
n 1 certify that I have personally inspected the sewage disposal system at this address and that the information reported below Is true,accurate
and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and
'u maintenance of on-site sewage disposal systems. The system:
M Passes
Conditionally Posses
u _ Needs Further Evaluation By the Local Approving Authority
Fails
n k+spstto'sSrgrnattrre: ?�f+�.u, �,�lls% Dats: 10/14/99
Lj
The System Inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(301 days of
completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the Inspector and the system owner
shall submit the report to the appropriate regional office of the Department of• nvirenmental Protectlon. The original should In sent tovo;
u system owner and copies sent to the buyer,if applicable,and the approving authority.
'—I NOTES AND COMMENTS
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n revised 9/2/98 Pagel of 11 'y 191999
Pnnled on Recycled Paper
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C ] L C ] C ] C ] C 1 C ] C ] C t 1 C ] C ] L 1 ] 1 t C C ]
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SUBSURFACE SEWAGE DISPOSAL SYSTEM NSPECTION FORM
PART A
CERTBiCAT10N iconfinued)
71 Property Address:112 Colonial Ave.,North Andover,MA 01845
Owner:Rogelio Lopez
Data ofInspection:8rnm
NSPECTWN SUMMARY: Cheek A, B, C, or A
`—' A. SYSTEM PASSES:
I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist. Any failure
criteria not evaluated are indicated below.
u
B. SYS71M CONDITIONALLY PASSES:
n One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon
completion of the replacement or repair,as approved by the Board of Health,will pass.
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Indicate yes,no,or not determined(Y.N,or NDI. Describe basis of determination in all instances. if"not determined",explain why not.
.- The septic tank is metal,unless the owner or operator has provkled the system inspector with a copy of a Certificate of
Compliance lattached)indicating that the tank was installed within twenty 120)years prior to the date of the Inspection;or
Li the septic tank.whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfittration,or tank
failure is imminent. The system will pass inspection if the existing septic tank is replaced with a complying septic tank as
n approved by the Board of Health.
u
n _ Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipets)
1 or due to a broken,settled or uneven distribution box. The system will pass inspection if(with approval of the Board of
aJ Health).
broken pipe($)are replaced
obstruction is removed
n distribution box is levelled or replaced
Li
r The system required pumphig-Tnom than four tunes a yeardue to brolien or obstructed pipels). The system vrNtVow—
n inspection if(with approval of the Board of Mae"): -
broken pipe(s)are replaced
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obstruction is removed
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C C_ C J C ] C C C 7 L _ ] L J L .. I L_1 C 7 C 1 C ] C _J C C._ _] C- .1 C
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u SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
n CERTIFICATION foonthrued)
LJ Pwpsrty Address: 112 Colonial Ave.,North Andover,MA 01845
Owner: Rogelro Lopez
n flats of :9129/99
Li C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH:
Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the
n public health,safety and the environment.
u 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES 0 ACCORDANCE WITH 310 CMR 15.303 0 Hb!THAT THE SYSTEM
IS NOT FUNCTIONING IN A MANNER WHK IUNRL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVXONMEKr:
Li — Cesspool or privy is within 50 feet of surface water
,,,,_ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a soft marsh.
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7! 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(IND PUBLIC WATER SUPPLIER,IF ANY)DETERMINES THAT THE SYSTEM NS
u FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT:
n — The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or
tributary to a surface water supply.
u _ The system has a septic tank and soil absorption system and the SAS is within a Ione i of a public water supply wed.
The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well.
n The system has a septic tank and soil absorption system and the SAS is less then 100 feet but SO feet or more from a
private hooter supply wed,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the
u well is free from pollution from that facility and the presence of•ammonia nitrogen and nitrate nitrogen is equal to or less
than S ppm. Method used to determine distance (approximation not valid).
rl 3) OTHER
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C__] C J L J C J C C J L J L ) C _ C_ ] C_. 7 C J L 7 C__ 7 C_ C . 7 C_ C _ 1 C J
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SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION(eonGm ed)
n
Property Address: 112 Colonial Ave.,North Andover,MA 01845
17 Owner: Rogelio Lopez
Date of Inspection:9/29/99
v
D. SYSTEM FAILS:
You must indicate either"Yes"or"No" to each of the following:
I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303, The basis for this
Li determination Is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure.
n Yes NX
_ t/ Backup of eewage into!stip" eernpone"doete an overloaded orcieggedSA&4orcesspool. • :y--- -.
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Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or
rl cesspool.
Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool.
Liquid depth in cesspool is less than 6"below invert or available volume is less than 1/2 day flow.
u _ J( Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).
Number of times pumped Q.
M _ Any portion of the Soil Absorption System,cesspool or
p privy is below the high groundwater elevation.
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Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply.
Any portion of a cesspool or privy is+within a Zone 1 of a public well.
_x/ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
rl Any portion of a cesspool or privy is less-than 100 feet but greater than 50 feet from a private water supply well with no
acceptable water quality analysis. If the well has been analyzed to be acceptable,attach copy of well water analysis for
'J coliform bacteria, volatile organic-g pounds,ammonia nitrogen and nitrate nitrogen. -
'-1
E. LARGE SYSTEM FAILS:
�+ You must indicate either"Yes"or"No" to each of the following:
The following criteria apply to large systems in addition to the criteria above:
n NO
The system serves a facility with a design flow of 10,000 gpd or greater!large System)and the system is a significant threat to public
health and safety and the environment because one or more of the following conditions exist:
n
Yes N
L-+ _ the system is within 400 feet of a surface drinking water supply
the system to whhin 200 feet44 sib awV4sa
u _ Of the system is located in a nitrogen sensitive area(interim Wellhead Protection Area:IWPA)or a mapped Zone IIof a public
water Supply well)
f-1 The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 1 S.304t2). Please consult the local regional
office of the Department for further inforgieftn.
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L J C J C J C J C _ J C.. J C J C . J C J C J C J C. J C J C J C J C _ J C J C J C 7
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n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
`' CHECKLIST
n
Proparty Address: 112 Colonial Ave.,Nodh Andover,MA 01845
u Owner: Rogelio Lopez
Data of Inspection:9/29/99
n
Check if the following have been done:You must indicate either"Yes"or"No" as to each of the following:
n Ye No
Pumping information was provided by the owner,occupant,or Board of Health.
n _ Non*of the system-xOn4m eenta-raw&beam powrpedAwa ,least twoatieeiks andrdw-uystom hasAwmaaeatsbWessea m sow
rates during that period. Large volumes of water have not been introduced into the system recently or as pert of this
u inspection.
n _ As built plans have been obtained and examined. Note if they are not available with N/A.
u _ The facility or dwelling was inspected for signs of sewage back-up.
The system does not receive non-sanitary or industrial waste flow.
n ✓ —
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The site was inspected for signs of breakout.
— All system components, excluding the Soil Absorption System,have been located on the site.
n
_ The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles
u or tees,material of construction,dimensions,ds of liquid,
pth depth of sludge,depth of acorn.
The site and location of the Soil Absorption System orr the site has been determined based on:-
n
Existing information. for example, Plan at B.O.H.
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_ Determined in the field(if any of the failure criteria related to Part C is at issue,approximation of distance is unacceptable)
r"1 — 115.302(301)
'-j _� . The facility owner tend.occupantaJI different lroar.*wmrl wrara ptaWded ynith loforaratioaan
Subsurface Disposal Systems.
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r+ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
`—' SYSTEM WF0IMIIAIMM
M Propm!V Address:112 Colonial Ave.,North Andover,MA 01845
Owner:Rogelio Lopez
Daft of Inspection:9991n
M FLOW CONDITIONS
RESIDENTIAL•
Design flow: 110 g.p.d./bedroom.
Number of bedrooms(designs: 4 Number of bedrooms tactual): 4
n Total OESIGN flow_ 440
Number of current residents: 3
Garbage grinder Ives or no):=
Laundry(separate system) (yes or no)NO; If yes,separateknspection required
n Laundry system inspected (yes or no) -
Seasonal use(yes or no)?NO
L, Water meter readings,if available(last two year's usage(gpd): TWO YEARS NOT AVAILABLE(SEE ATTACHED SHEET)
Sump Pump(yes or no): NO
n Lest data of occupancy:CURRENT
COMMERCUUM DUSTRiAL:
Type of establishment:
Design flow: sled t Based on 15.203)
n Basis of design flow
Grease trap present:Ives or no)_
Industrial Waste Holding Tank present:Ives or no)_
Non-sanitary waste discharged to the Title 5 system:(yes or no)_
r1 Water meter readings,if available: _
Lj Last date of occupancy:
OTHER:(Describe)
F-1 Last date of occupancy:
u
GENERAL INFORMATION
PUMPING RECORDS and source of information:
M PUMPER:SEPTIC SOLUTIONS
System pumped as part of inspection:Ives or not—WS ...
u If yes,volume
pumped: 15�„(Q_9aMons
Reason for pumping: INSPECTION
M
TYPjr OF SYSTEM
u ✓ Septic tank/distribution box/soil absorption system
Single cesspool
n Overflow cesspool
Privy
u Shared system(yes or not (if yes,attach previous inspection records,if any)
1/A Technology etc.Attach copy of up to date operation and maintenance contract
r7 Tight Tank Copy of DEP Approval
Li Other
n APPROXIMATE AGE of all components,date instaile"known)-and sotnae ot4wornsa*m: 10/97(DESIGN PLANS)
Sewape odont detected when-wriving at the site:(yes or no)NO
u
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revised 9/2/98 Page6of11
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S
n SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTiON FORM
,-j PART C
SYSTEM 1111bRMATIO01 tcanOnued)
n Property Address: 112 Colonial Ave.,North Andover,MA 01845
Owner: Rogelio Lopez
Dane of- peetin .
rl BUILDWC SEMYEA:er
u
(Locate on site plan)
Depth below grade: 12-40"
Material of construction:_cast iron V*4'40 PVC_other(explain)
u Distance from private water supply well or suction line >1 '
Diameter 4"
n Comments:(condition of'oints.venting,evidence of feakage,-Gtc.)
JQINT TIGHT. NO AMM15l;LEAKING
u
SEP`W TANK-
n (locate on site plan)
u Depth below grade: 36
Material of construction:Yoncrete_metal—Fiberglass _Polyethylene_other(expiain)
7 ff tank is Pwtal,list age_ b.ege confirmed by Certificate of Compliance _(YealNo)
u
Dimensions: 8'X 5'X 5'
h:
n Sludge deptI"
Distance from top of sludge to bottom of outlet tee ortraffle:-ar_ _.
u
Scum thickness: 0-0.5"
Distance from top of scum to top of outlet tee or baffle: 4"
Distance from bottom of scum to bottom of outlet tee or baffle: 14"
n How dimensions were determined: TAPE INFIELD
u
Comments:
(recommendation for pumping,condition of inlet and outlet tees or-baffles,depth of liquid level in relation to outlet invert,structurowntegrhy,
n evidence of leakage,etc.) RECOMMEND NDRMAL PUMPING SCHEDI_It F
LIQUID LEVEL AT OUTLET INVERT
�, TANK IS STR CI IROI I v Snf Nn.NO EVIDENCE nF LFAKA(`
INLET A OLTLET TEES WERE SOUND
n GREASE TRAP:NONE
u
(locate on site plan)
Depth below grade.
n Material of construction:,_concrete metal_Fiberglass _Polyethylene_other(explain)
`
Dimensions,
Scum thickness:
F1 Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
n Comments:
Irecommerrdation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural Integrity,
u evidence of leakage,etc.)
n
n
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u PART C
SYSTEM INFORMAT1Wt korrtira sM
Property Add►ass: 112 Colonial Ave.,North Andover,MA 01845
Owner: Rogelio Lopez
u Dess oftaxt:9/29/99
n
TIGHT OR HOLDING TANK�IONRTank must be pumped prior to, or at time of,inspection)
flocate on site plan)
n Depth below grade:
Li Material of construction:_concrete_metal,Fiberglass`Polyethylene,•,_,other(e:plain)
n
Dimensions: --- ---—- -
Capacity gallons
Design flow: gallons/day
Alarm present
Alarm level: Alarm in working order:Yes_ No
Date of previous pumping: T
u Comments:
fcondition of inlet tee,condition of alarm and float switches,etc.)
n
Li
n
Li DISTRIBUTION BOXY
(locate on site plan)
Depth of liquid level above outlet invert:AT INVERT
u
Comments:
(note
if level
evidence Iscarryover,
, I— tAORLn DBIS LVELFLW ISEQUALL STRIBUTEDNO EVPFLEAKGES0
1305 t;AFIRYOVER"'—'.—
n
PUMP CHAMBER:NONE
`J (locate on site plan)
[-1 Pumps in working order:lYes or No)
Alarms in working order(Yes or No)
`J Comments:
(note condition of pump chamber,condition of pumps and appurtenances,etc.)
n
u
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n
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revised 9/2/98 Page aof11
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n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
L_j PART C
SYSTEM NIIFORMATION(continued}
n Property Address: 112 Colonial Ave.,North Andover,MA 01845
Owner: Rogelio Lopez
Delia of l pectin :9129199
n Sol!ASSORR IOM SYSTEM(SAS):✓
u flocate on site plan,if possible:excavation not required,location may be approximated by non-intrusive methods)
If not located,explain:
n
Type:
leaching pits,number:_
I-1 leaching chambers,number:_,_
leaching galleries,number:
u
leaching trenches,number,le255'ngth:
leaching fields,number,dimensions:
(� overflow cesspool,number:_
Alternative system:
'--� Name of Technology:
Comments:
n (note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.)
SANDS AND GRA�/ELS IN GOOD CONDITION NO SIGNS OF HYDRAULIC FAILURL NO PONDING
u iry vr�mr"- aviL. VCbtIAZION IS EVEN
n cEssPous.N NE
u flocate on site plan)
n Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer:
Dimensions of cesspool:
n Materials of construction:
I
Indication of groundwater:
inflow(cesspool must be pumped as part of inspection)
n
u
Comments:
(note condition of @oil,signs of hydraulic failure,level of pewding,,condition of•vegetation,etc.)
n �-
u
pgryY: NONE
n (locate on site pion)
Matedels of construction: Dimensions:
Depth of solids: - -
r1 Comments:
(note condition of soil,6*0 of hydraulic failure,level of ponding,condition of vegetation;etc,)
n
Li
n
n
revised 9/2/98 Page 9of11
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L J L J L J C.- J C _3 C J C J C J C J C J C J C J C J C J C J C J C J C J C J
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n SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM
PART C
'—' SYSTEM 911FORMATION Icmrbnuv4
r1 Property Address: 112 Colonial Ave.,North Andover,MA 01845
Owner: Rogelio Lopez
'u Date of hwpec6on:9129/99
M
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent reference landmarks or benchmarks
n locate all warts within 1W(locate where public water supply comes into house)
Li
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n CATCH
43.5' BASIN
61.8' BOX
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SCALE: I IN=30 FT
`J revised 9/2/98 Page loom
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n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
`—' SYSTEM INFORMATION(contirmed)
r'1 Property Address:112 Colonial Ave.,North Andover,MA 01845
Owner:Rogelio Lopez
`--� Oohs Of ku*mcbn: 9/29/99
n NRCS Report name SOIL SURVEY OF ESSEX COUNTY, MASSACHUSETTS, NORTHERN PART
u Soil Type__ I
Typical depth to groundwater >0.0 �_ --
USGS Deb website visited 10114/99
Li Observation Wells chocked ANDOVER
Groundwater depth: Shallow Modem* Deep
SITE EXAM Slopi 2-3%
u Surface water NONE
Check Collor DRY
n Shallow wells NONE
u Estimated Depth to Groundwater 6.3 Feet
Please indicate all the methods used to determine High Groundwater Elevation:
n
u
Obtained from Design Plans on.record
Observed Site(Abutting property,observation hole,basement sump etc.)
n
u
O Determined from local conditions
Checked with local Board of health
n
Li --
Checked FEMA Maps
Checked pumping records
Checked local excavators,installers
U
Used USGS Data
F1
I
Li Describe how you established the High Groundwater Elevation. (Must be completed)
DESIGN PLANS FOUND WATER TABLE AT ELEVATION 151.7
n LOWEST INVERT IS 156.5.THEREFORE SYSTEM IS ABOVE WATER TABLE.
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PLAN OF LAND
/N
NO, ,
IVA 55,
SCALE I" = 40' SEPTEMBER 11, 1997
HAVES ENG/NEER/NG, INC. ► 60.T SALEM STREET
C/V/L ENGINEERS do W.4KEF1EL0, MASS. 01880
LAND SURVEYORS TEL. (617) 246-2&V
/ CERAFY nvAr THIS FOUN24770N /S LOC47ED ON THE GROUND AS SHOWN, AND mAr?
CONFORMS TO THE ZONING BY-LAWS OF THE TOWN OF NO.ANDOVER. / FURTHER CERTIFY
TH64T THUS PROPERTY DOES NOT L/E WITH/N A 17000 H4Z4RD AREA (ZONE A OR V) AS
SHOWN ON a000 INSURANCE R4TE MAP COMMUNITY PANEL NUMBER 250098 0010 R.
EFFECTIVE DATE- ✓UNE 15, 198J
G341F �ps;-1'2 l�D9'1
------ --!---------- ------ --------------- — �y'oNof
PROFE35/OK.4L LAND SURVEYOR PETER
J.
OGREN
#33604 ti
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AVE
R=175.00
rO° fND 1 1=1250
LOT 17 516 izEv-,m.6 h
?¢ I I
X30 I I
" ��T INV % i W i LOT 19
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LOT 18 I � � I
25,839 S.F. I I
NIS '
CBA-25,400f S.F.
N:
S82;39 08"E 11 Z3
.,�o.oQ•
i oF0- N84-07 26 TZONE- PRD (R-2)
MIN/MUM SErS4CKS.
FRONTS 20'
S/DE 20' (SEE SECT. 8.5.6.0.1)
RVR 20'
Form No.4
Town of North Andover, Massachusetts
BOARD OF HEALTH
Nov. S 19 97
CERTIFICATE OF COMPLIANCE
This is to certify that
the Individual Soil Absorption Sewage Disposal System constructed (X ) or repaired ( )
by Charles Zaher = _
INSTALLER
at Lot 18 Colonial Drive
SITE LOCATION .'
has been installed in accordance with Board of Health Regulations as described in the DesignP:..
Approval Site System Permit No. R21 dated ALg uG 8 19. 97
The issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
BOARD OF HEALTH
sg_
a
Form No.4 " E
Town of North Andover, Massachusetts
BOARD OF HEALTH
Nov. S 19 97 ..
CERTIFICATE OF COMPLINNCE
This is to certify that
the Individual Soil Absorption Sewage Disposal System constructed (X ) or repaired ( )
by Charles Zaher
INSTALLER
at Lot 18 Colonial Drive
SITE LOCATION ',.
has been installed in accordance with Board of Health Regulations as described in the Design i'..
Approval Site System Permit No. 821 dated�g us 8 19__97
The issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
BOARD OF HEALTH k
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Town of North Andover NORTk
OFFICE OF ��0*tI. .o '°,6o c
COMMUNITY DEVELOPMENT AND SERVICES ° . p
146 Main Street
North Andover, Massachusetts 01845
WILLIAM J.SCOTT SACHUS
Director
July 1, 1996
Hayes Engineering
603 Salem Street
Wakefield, MA 01880
Re: Lot#18 Colonial Drive
Lot #19 Colonial Drive
Lot #20 Colonial Drive
To Whom it May Concern:
This is to confirm that the Board of Health, at their regularly scheduled meeting on June
27, 1996, voted unanimously to grant the following variances:
• To allow 91 feet to wetlands and 25 feet to a catch basin on Lot#18 Colonial Drive.
• To allow 90 feet to wetlands on Lot#19 Colonial Drive.
• To allow 85 feet to wetlands on Lot#20 Colonial Drive.
If you have any questions, please do not hesitate to call the office.
Sincerely,
Sandra Starr, R.S.,
Health Administrator
SS/cjp
cc: Kathleen Bradley Colwell, Town Planner
Michael Howard, Conservation Administrator
Files
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
3
e Form No.4
Town of North Andover, Massachusetts
BOARD OF HEALTH
Nov --19 97
CERTIFICATE OF COMPLIANCE
This is to certify that
the Individual Soil Absorption Sewage Disposal System constructed (X ) or repaired ( )
_ by Charles Zaher
INSTALLER _
at Lot 18 Colonial Drive
SITE LOCATION :
has been installed in accordance with Board of Health Regulations as described in the Design ;
Approval Site System Permit No. 821 dated.
t
The issuance of this certificate shall not be construed as a guarantee that the system will
- -- function satisfactorily.
r,
Qi,Eft' BOARD OF HEALTH '� -
MAP AND PARCEL e
ADDRESS 3—
OWNER
-OWNER c-
SIZE OF LOT IN SQUARE FEET
#BEDROOMS
SEPTIC SYSTEM LOCATION ' I ► L'"v�'���"Y '
(For example, FRONT YARD SOUTHEAST CORNER)
FINAL GRADING DATE I/— 5— 6 7
AS BUILT PLAN IN FILE? do
INSTALLER Ci" 2 Ct
DWC PERMIT DATE / :2 < 7
CERTIFICATE OF COMPLIANCE DATE
ENGINEER
f - at PK
4O'1`''' 5'b' -- - WPW --
3'0' 2'9,' 5'0' 2'6' 3'P/4' 3'11/4 9'b' b'9�+' 7'9" 2'9" 1'0' TP4'
6'0'SLIDING
I �C)
I
FAMILY BRKFST KITCWEN STUDY
0
(vaulted) 0 4
c ---------------------- O 2'4
i
dcwd rraent Isywe I � O O
M vay
O 2'4' 70'i 3'b' i m 2-2V6.
E E E �
4'0' 3'9' 3444
2'6' El 3'0' o
m
H
ry m =
p ----------------------
n
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UP
0
DINING FOYER a LIVING
YO' 3 0' 70'
7'11CL CL.
4'6' 1'0' 4'b'
16'0' 4'0' 6'6' 3'6' 1 3'0" 3'0" 3'0' 3'0' 3'b' 6'6' 4'0'
FIRST FLOOR PLAN Wo, 12,01 ��.
V4'•I'O' 40b'
11418 - 3
d
Yp" 1TV 5'4�h' 5'2" 2'10• 5'6"
= O Oz
BEDROOM #4
Z,
_ . 11 WALK-IN
F1T� CL• ° CLOSET s
o �
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2'b' 2'4' 2'4"
2 3.0. N t� 1 loth' 3-0' �4"JI
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CP
2-3'0'
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2'6
b'1/4'
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4 cloeet Moor elopes Y4"
4o mamaln headroom
BEDROOM #3 for eti"belom m M BEDROOM #1
8'244 3'b' ,no
BED #2
o
4'0' 6'b' 3'b' b'O' 6'0' 3'6' b'b" 4'0'
14'0' 12'0' 14'0'
40'0.
SECOND F COR PLAN
1,4'.1'0' 11418 - 4
Form No.3 "'
Town of North Andover, Massachusetts 4--
°t NORTH, BOARD OF HEALTH
3 19--�
DISPOSAL WORKS CONSTRUCTION PERMIT
,SSACHUSE�
Applicant a/7/7KLf—�
NAME ADDRESS TELEPHONE 3
• Site Location .-or- �8
Permission is hereby granted to Construct ( or Repair ( ) an Individual Soil Absorption 1
- Sewage Disposal System as shown on the Design Approval S.S. No.
' l r
2—tl—J—�
'CHATKMAN,BOARD OF HEALTH
4-:' :.
Fee
... D.W.C. No. � ,....: :.
_. ....
APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: 02� l 7 CURRENT U NT INSTALLER S LICENSE#
LOCATION: �_A V lq CA0N.`,-) ( U "Q_
LICENSED INSTALLER: CLO,-6--S
SIGNATURE:�' r-�, TELEPHONE# ,
CHECK ONE:
REPAIR: NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
$75.00 Fee Attached? Yes No
Foundation As-Built? Yes f-'' No
1 � ,
Approval Date: �r)
Town of North Andover, Massachusetts Form No.2
o� NoaT4 BOARD OF HEALTH
p w
D
DESIGN APPROVAL FOR
,ss^CHUSSOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Applicant ISG &ta• �AQA,, O Test No.
f
Site Location L07 t 51/
Reference Plans and Specs. /2 /W
ENGINEER DESIGN DATE
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health. ,
HA1 MAN, BOARD OF HEALTH
FeeSite System Permit No.�_
r
/� /� PLAN REVIEW CHECKLIST
ADDRESS "1,07'4 6060CJ/AL ENGINEER
GENERAL
3 COPIESy STAMP l/ LOCUS NORTH ARROW SCALE �f
CONTOURS t'� PROFILE L---(Sc) SECTION 4--- BENCHMARKW� SOIL &
PERCS ELEVATIONS WETS. DISCLAIMER C WELLS & WETS
WATERSHED?-K""'� DRIVEWAY L`__ WATER LINE FDN DRAIN M&P
SCH40 L---" TESTS CURRENT? SOIL EVALA,�2A (!
SEPTIC TANK
MIN 150OG ��. 17 INVERT DROP &--' GARB. GRINDER, (2 comps +200)
10 ' TO FDN t"� MANHOLE ELEV GW ## COMPS. GB
D-BOX
SIZE ## LINES FIRST 2 ' LEVEL STATEMENT 4______
INLET - OUTLET 1 ;? _ /7 (2" OR . 17 FT) TEE REQ'D? A0
LEACHING
MIN 440 GPD? L/" RESERVE AREA L--/ 4 ' FROM PRIMARY? L/ 2% SLOPE
100 ' TO WETLANDS 100 ' TO WELLS �'� 4 ' TO S.H.GW (5 ' >2M/IN)
20 ' TO FND & INTRCPTR DRAINS L--�400 ' TO SURFACE H2O SUPP
4 ' PERM. SOIL BELOW FACILITY &--' MIN 12" COVER FILL? �'
BREAKOUT MET?
TRENCHES
MIN 440 gpd SLOPE (min .005 or 611/1001 ) SIDEWALL DIST. 3X EFF.
W OR D (MIN 6 ' ) y� RESERVE BETWEEN TRENCHES? ` _ IN FILL?�----" MUST
BE 10MIN. Is — 4" PEA STONE?OAC VENT> ( >3 ' COVER; LINES >501 )
BOT TC�J + -SIDE-41546 X LDNG TOT ` `
le)� SEPTIICPLAN SUBMITTAALS
LOCATION:
NEW PLANS: YES $60.00/Plan
REVISED PLAN -S—
$25.00/Plano2�d
DATE: �7 __
DESIGN ENGINEER:
When the submission is all in place, route to the Health Secretary
MERRIMACK
ENGINEERING SERVICES INC. dIEVVIN 3 OIP 4� s Gv]MOUMIL
Engineers • Surveyors • Planners
66 Park Street
ANDOVER, MASSACHUSETTS 01810 4 DATE 7JOB NO.
(508) 475-3555 ` ATTENTION'/� ~��
pFax (508) 475-1448 - ..1 S'-M 2
TO FSOA RD OF dr—A& I-f' _ r REILPT- g C040Y L V C..-` r
•
Ta.J;u D A" ,Daf5Q,
WE ARE SENDING YOU ❑ Attache/❑ Under separate cover via the following items:
El Shop drawings Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
WV1 S I O'A-
THESE ARE TRANSMITTED as checked below:
Li For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS &lAjbv,
-IMS maswi o{= -me- Afmyez k4,A A r sy HAYE5 E,tcGi�tcE�E�r cil
wyl 1 Aj61,vna
9E12—It G SYS iV�N1 DES I Fol L1416 G P Q TO o AVot_L C5b G E
WE\/l S50 AQos►a to CA-1-1 as
C.ALC_ IF A ks V Q,4--S-11oxcs DR Fee— L x Rf_=--Qb
Tw
COPY TO
SIGNED:
/f enclosures are not as noted,kindly notify us at once.
ZZ
FORK U - LOT RELEASE FORK
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT:
APPLICANT: A • C. 6UI11(5 Inc c Phone
LOCATION: Assessor's Map Number Parcel
Subdivision 00010AJ J Es f aLt s Lot(s)
Street Co 1011 i U I RVQ- St. Number t
************************Official Use Only************************
RECO DATIO OF WN S: IIA Ist
,/ Date Approved
Conservation Administrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
JJ Date Approved f .�
Septic Inspector-Health Date Rejected
Comments
Public Works - sewer/water connectionsc.{�
- driveway permit
Fire Department
Received by Building Inspector Date
310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION
15.203: continued
(6) System design flows for facilities other than those listed above shall be established, with 4
approval of the Department, in relation to actual meter readings of established flows from known
or similar installations. In those instances,design flows shall be based on 20070 of average water
meter readings in order to assimilate maximum daily flows.
(7) In schools, flows generated from sinks or other drains receiving wastes from science
laboratories,graphics arts classrooms,or vocational school activities,including,but not limited to,
automotive repair painting, or metal fabrication are classified industrial wastes z-nd shall te
directed pursuant to an appropriate permit,to a sewer,if a sewer connection is feasible and,if not,
then to an industrial waste holding tank approved by the Department or an approved hazardous
waste collection receptacle.
15.210: Setback Requirements and Loading Limitations for Locating and Designing Systems
15.211: Minimum Setback Distances
(1) All systems must conform to the minimum setback distance for septic tanks and soil
absorption systems, including reserve area, measured in feet and as set forth below. Where more
than one setback applies, all setback requirements shall be satisfied.
Soil Absorption
Septic Tank System
Property Line 10 10
Cellar Wall ori
Swimming Pool (inground) 10 20
Slab Foundation 10 10
Water Supply Line (pressure) 10[lj 10[1]
Surface Waters (except wetlands) 25 50 T
Bordering Vegetated Wetland (BVW), ' ..
Salt Marshes, Inland and Coastal Banks 25 50
Surface Water Supply
Reservoirs and Im c undments 400 400
Tributaries to Surface
Water Supplies 200 200
Wetlands bordering Surface Water Supply
or Tributary thereto 100 100
Certified Vernal Poo.:S 50 100[2]
Private "'ais;r Supply to 1. or Suction Line 50 100.
Public Water Supply Well (2) (2)
Irrigation-Well 10 25
Open, Surface or Subsurface Drains which
discharge to Surface Water Supplies or
tributaries thereto 50 100
Other Open, Surface or Subsurface Drains
(excluding foundation drains)which
intercept seasonal high groundwater
table [3] 25 50
Other Open, Surface or Subsurface Drains
(excluding foundation drains)
5 10,
Leaching Catch Basins &
Dry Wells 10 '25,
Downhill Slope not applicable ,15[4]
[1] Disposal facilities shall also beat least 18 inches below water supply lines. Wherever
sewer lines must cross water supply lines, both pipes shall be constructed of class 150
pressure pipe and shall be pressure tested to assure watertightness.
3/24/95 (Effective 3/31/95) 310 CMR - 512
HAYES ENGINEERING, INC.
603 SALEM STREET
WAKEFIELD, MA 01880 NOA-0042
(617) 246-2800 REFER TO FILE#
FAX (617) 246-7596
June 17, 1996
TOWNf30f�S�0 OF;1A
Board of Health
Town Hall
120 Main Street l
North Andover, MA 01845 ._
RE: Variance - Lots 18, 19 & 20
Woodland Estates, North Andover, MA
Dear Members:
Please accept this letter as an application for a variance from the North Andover Board of Health
Regulations for the above-mentioned lots.
We are requesting a variance from Section 4.18, which requires a distance of 100 feet between
wetlands and the leaching facility or reserve area. We also are requesting a variance on Lot 18 for
the distance between a subsurface drain and the leaching facility or reserve area.
Please allow time or, tr:- agenda at your next available meeting to discuss these issues.
Very truly youns,
Edward E. Stearns, P.L:S. --=
Project Coordinator -
EES/dab
Enclosures
PLAN REVIEW CHECKLIST
ADDRESS �, le? C0e-'0" 9Z_ �i2/VE ENGINEER /�Y6:5
GENERAL /
3 COPIES6� STAMP t/ LOCUS ✓ NORTH ARROW �� SCALE
CONTOURS L/ PROFILEC,'-' SECTION/ BENCHMARK SOIL &
PERCS tLl✓ ELEVATIONS WETS. DISCLAIMER WELLS & WETS t--.
No. FEE
THE COMMONWEALTH OF MASSACHUSETTS
o� Mwoy 1✓CL , MASSACHUSETTS
&Appliration for Disposal o*Vstem C11IInstrurttun Ilermit
Application is hereby made for a Permit to Construct or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address and Tel.No.
�G &its€/2S Jwc
Installer's Name,Address,and Tel.No. D signer's Name,Addr ss and Tel.No.
(��
�►�3 5�i-e.i�-rc S-)' 7
A1�CF18�p YKp- b17 Z�b 2$a c�
Type of Building:
Dwelling No. of Bedrooms 4- Garbage Grinder( b
Other Type of Building No. per Persons Showers( ) Cafeteria( )
Other Fixtures //
Design Flow � 6 b C> gallons per day. Calculated daily flow ( y gallons.
Plan Date _3 9 b Number of sheets _ Revision Date
Title SEenc <YSzc7 ( J eV&4 IMNlaOV�� s
Description of Soil 5ec SO, ` L-06c, 014
Alm OF ORTN A
BOAR
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal
system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a
Certificate of Compliance has been issued by this Board of Health.
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
Town of North AndoverNORTH
OFFICE OF ?�y`` ",��0�
COMMUNITY DEVELOPMENT AND SERVICES °
¢ A
146 Main Street �,'40,,, ,.o•"ty�
North Andover,Massachusetts 01845 °SsgC`HU$Es
(508) 688-9533
February 12, 1996
Hayes Engineering
603 Salem Street
Wakefield, MA 01880
Re: Lot #18 Colonial Drive
To Whom it May Concern:
This is to inform you that the proposed plans for the site
referenced above have been disapproved for the following reasons:
1) Soil tests out of date. (N.A. 4 . 06) Also see 310 CMR
15. 100 (2)
2) SSDS less than 100 feet to wetlands.
3) No benchmark within 75 feet of system.
If you have any questions, please do not hesitate to call the Board
of Health Office at the number below.
Sincerely, `
Sandra Starr, R.S.
Health Administrator
SS/cjp
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Julie Parrino D.Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell
DATE /I/ Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE �C� PERMIT # DATE RECEIVED IAP 76
APPLICANT �j L /JU�LD��s ASSESSOR'S MAP
ADDRESS ED All), PARCEL #
LOT # /8
JJ STREET C'oc�tii�c
ENGINEER `7"f�yCS
ADDRESS �� �r� K ZV191( ��I-- -� oleeo
PLAN DATE �l /�/ 3 /�I9� REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED
DISAPPROVED
6 l/, N S0iG TEsT� < , �. DLJ /9/--.5,0 SGE
61,0
D EJ �2S
4�5S 5 7h61191J /0,0' 7-0
i`
I� II
� II lil�
i
E
j'
. � Y
_ e
I J11
TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
DATE:
FYST4E—UWNER&ADDRESS SYSTEM LOCATION
(example: left front of house)
a
DATE OF PUMPING: 7 ��/
QUANTITY PUMPED 16 GALLONS
CESSPOOL: NO
SEPTIC TANK: NO— YES✓
O
F SERVICE:- ROUTINE
EMERGENCY
I
BSERV
O ATIONS: .. .
r GOOD CONDITION
HEAVY GREASE FULL TO COVER,
BAFFLES IN PLACE
ROOTS LEACHFIELD RUNBACK
EXCESSIVE SOLIDS
FLOODED —'—"—
SOLIDS CARRYOVER_ OTHER(EXPLAIN)
SYSTEM PUMPED BY
i
1 e
COMMENTS::
{ t �t�
y
vir
CQN 'ENTS TRANSFERRED TO:
I ,
1
q
fi 1 y:f;Y - 42001
.;r' i
Commonwealth of Massachusetts J
City/Town of OCT 9 2008
System Pumping Record
a'CO
Form 4 VSR +
DEP has provided this form for use by local Boards of Health. Other forms may be used, but the
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
Important:
When filling out 1. System Location eft_front eft rear, left sid of house. Right front, right rear, right side of house.
forms on the
computer, use
only the tab key Address /
to move your (
cursor-do not
use the return City/Town State Zip Code
key. 2 System Owner:
Name
Address(if different from location)
CitylTown StatS ( ` 'I RC..�ode
Telephone Number /
B. Pumping Record
1. Date of Pumping Date 2• Quantity Pumped: Gallons
3. Type of system: 0 Cesspool(s) = Septic Tank 0 Tight Tank
r] Other(describe): /
4. Effluent Tee Filter present? 0 Yes OHO If yes, was it cleaned? Yes No
5. Condition of System:
6. System Pumped By:
Neil Bateson F 5821
Name Vehicle License Number
Bateson Enterprises Inc
Company
7. Location where contents were disposed:
L.S.D Lowell Waste Water
igna ure of H"r Date
t5form4.doc•06/03 System Pumping Record•Page 1 of 1
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
QA-"-L q-
0
19 q G
ED m � APPLICATION FOR SITE TESTING/INSPECTION
SS CRUS
Applicant iC. t Cel
NAME I ADDRESS Q TELEPHONE
Site Location s ( � �.UQ0 (aL, fit- F" ",C� •
Engineer
NAMF ADDRESS TELEPHONE
Test/Inspection Date and Time
1P CHAIRMAN,BOARD OF HEALTH
Fee 1 57) Test No. 17 36)
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
F A-
32O��SlE° 9/616rOL
19
APPLICATION FOR SITE TESTING/INSPECTION
garE°PPP��y
S.3 CHUS�
Applicant
NAME ADDRESS TELEPHONE
Site Location
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fee Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts Form No. 1
NORTH d BOARD OF HEALTH
32 oh 4tlED ` 61O0
19 1 .
`E°R °° °°w°•�" APPLICATION FOR SITE TESTING/INSPECTION
7q AOAATED PPP�.�S
SSHCHUS�
Applicant--a C .
NAffE ADDRESS t TELEPHONE
Site Location LDT -4"
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fe I-D Test No. 4 S1S—
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
RZECE-IVED
TOWN OF NO TM ANDOVE-11,
L)A t*�, SYSTEM PU PINQ RECOR1.) NOV 3 2004
............
SYSTEM
TH
1)
.TEM PU PIN(' R�C
TOVfN OF NORTH ANDOVER
SYSTEM/l aOWNER & ADDRESS SYSTEM LOCAnnM U=Al TW r)PPAPTNAPNIT
r)e 0
0
No- olvolove-1., ma,
DATE OF PLJMFfN,o:.-_..
pLIANTITY PUMPED:
.-
Ct-'3SPOOL: NQ yhS
SCRUC Tank: NU_ s
NA LUKE OF SERVICE: KC)UrINE.. EMEROENcy
ObSERVA 171ONS:
GOOD CONDITION FULL 'rlo COVER
HEAVY GREASE BAFFLES IN PLACL-,
ROOTS LEACMELD RUNBACK
"CESSIVE SOLIDS _ FLOODED
SOLID CARRYOVER, _
ARRYOVP-R, --.- OTHER EXPLAIN
SY&tvm f'tiurtpcd by
74g)� 177a
J
�'UMMENTN.
L'UN I EN I'S f'KANSJ.-hRp
Commonwealth of Massachusetts
City/Town of RECEIVED
System Pumping Record
OCT
g '[011
Form 4 '
M
TOWN OF NORTH ANDOVER
DEP has provided this form for use by local Boards of Health. Otherf rmR i mff
information must be substantially the same as that provided here. Before using this form, check with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Locatio : Leftront of hous , right front of house, left side of house, right side of house, Left
rear of house, right rear o o s , eft side of building, right rear of building, under deck.
t C ��- Co / k,/Akk
City/Town State Zip Code
2. System Owner:
Name �Jvl
Address(if different from location)
City/Town State^� � .�Z' Code
Tele(phone Number ��JJ
B. Pumping Record
1. Date of Pumping Date 2. Quantity Pumped: Gallons
3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes D- O If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
�j 6)(-o,�
6. System Pumped By:
Neil J. Bateson F5821
Name Vehicle License Number
Bateson Enterprises Inc.
Company
7. Loc i here contents were disposed:
G.L.S.D. o II Was at r
;Si,g7nat:u;,of Date
t5form4.doc•06/03 System Pumping Record•Page 1 of 1
Commonwealth of Massachusetts
City/Town of
System Pumping Record
Form 4
DEP has provided this form for use=by local Boards of Health. Other forms may be'used, but the
information must be substantially the same as that provided here. Before using.this form, check with your
local Board of Health to determine the form they use.The System Pumping Record must be submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Locatio . Le /Righ nt of hou , Left/Right rear of house, Left/right side of house, Left/
Right side of building, Left/Right front of building, Left/Right rear of building, Under deck
Address
Cityrrown State Zip Code
2. System Owner.
Name
Address(if different from location)
Cityrrown State, �_ ��� prpde
s �,�' U 7l
Telephone Number �.
f
B. Pumping Record
1. Date of Pumping �� 2. Quantity Pumped:
Date Gallons
3. Type of system: ❑ Cesspool(s) eptic Tank ❑ Tight Tank
❑ Other(describe):
4. Effluent Tee Filter present? ❑ Yes 0No If yes, was it cleaned?
❑ , s No.
5. Condition stem:of
��
6: System Pumped By.- o�tio e r®
y yj,li>, ���
Neil Bateson F5821
Name Vehicle License Number
Bateson Enterprises Inc
Company
7. Location whate contents were disposed:
ALU-PALU-P Lowell Waste Water
Signitufe cfHauleVDate
I
t5form4.doc•06/03 System Pumping Record•Page 1 of 1
I
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